I requested an SS-5 form from the Social Security Administration for Susanna Nufer Deutsch.  They sent me this OAC-790 form instead stating this was the only document available.  This form is completed when a claim for benefits is filed and contains the same information as the form SS-5.  The major data reflected here is:

Birth date - 11 January 1868

Father - John Nufer born in Russia

Mother - Catherina Bogar (Boger)

Social Security Number

An example of her signature, IF this is her signature.